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Forms Can. Be Submitted via. Email to hrucconologue cDto not appin emy.gov or
grobinson c- townofwappingemy.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 9.2590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 0
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Grace Robinson F
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
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RECEIVER OF TAXES
F
RECREATION
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SUPERVISOR
TOWN CLERK
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WATER/SEWER
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DOG CONTROL OFFICER ❑
TOWN ENGINEER
0
TOWN ATTORNEY
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TOWN OF WAPPINGER
on for Public Access to Records
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EP 2 0 2023
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted.:
Date FOIL fulfilled or denied:
Closed by:
Date:
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Amount ount Due: ___L Pages for a total of "
Name:r' "_14-- 61r - 'A check here if you are
Address: r- 6 [ requesting that the records
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Agency or firm:
Telephone #: (') - FAX #: ( )
Email address:
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
s` I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
0 I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above